Yanish, Gregory J
Yanish, Gregory J is an sole proprietor health care provider with primary practice located at 12499 University Ave Ste. 210, Clive IA 50325-8288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Yanish, Gregory J can be contacted via phone (515) 440-2676.Contact Information
Primary practice address
12499 University Ave Ste. 210
Clive IA 50325-8288
Phone: (515) 440-2676
Fax: (515) 440-2677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5315021056 | Michigan |
Profile Details
| NPI number | 1497809859 |
|---|---|
| LBN Legal business name | Yanish, Gregory J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jan 23rd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497809859 | NPPES |
| Michigan | MEDICAID | 4982685 |
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